Airsense S10

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
sleepstar
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Airsense S10

Post by sleepstar » Wed Oct 22, 2014 9:18 am

Hi everyone,

I'm curious to hear what people are thinking of this machine. It hasn't been around long at all, so I haven't really had any feedback about it.

Is anyone using the automatic ramp? Or the automatic humidifier? Success? Failure?

Would love to know what you think about it.

Thanks

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chunkyfrog
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Re: Airsense S10

Post by chunkyfrog » Wed Oct 22, 2014 10:14 am

I turned the automatic ramp off right away. I believe it is a feature designed for beginners.
I turned the manual ramp off completely--sometimes it's a nuisance if you are ready to sleep right away.
I miss having temperature settings on the Climateline (Air) hose. Sometimes I like a warm nose.
The For Her algorithm seems to be lowering my AHI better--and it is more comfortable.
(not that I had any complaints about the 9 Autoset.)
The screen angle is nice, unless your machine is placed low--I cannot read it from above.
The screen has an automatic dimmer--readable when the lights are on--barely visible in the dark--(not readable)

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TangledHose
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Re: Airsense S10

Post by TangledHose » Wed Oct 22, 2014 10:46 am

Yo Chunky:

I have not received my Airsense 10 AutoSet yet, but I did download the Clinician manual.......in the clinician settings you can switch your climate control to Manual from Auto and then gain manual control of the tube temperature from 60F to 86F somewhat similar to the S9. I say similar because you would then also adjust your humidity level separately where as on the S9 you could just set temp and the humidity would auto to 80% (with ClimateLine Hose) -- on the new A 10 if you have hose temp in manual you would also have to set humidity manually from 1 through 8. If you run it in the factory "Auto" climate mode the setting is 80F and that is a little on the cool side for me, so I will switch to manual and run 83F or 84F........I hate cold air in my face!!!! To get into Clinician settings press the round button and the home button simultaneously for three seconds.

With the ClimateLine Hose:

From the Manual:
Climate Control Manual
Designed to offer more flexibility and control over settings, Climate Control Manual lets the patient
adjust the temperature and humidity to the setting which is most comfortable for them.
In Climate Control Manual, the Tube Temperature and the Humidity Level can be set independently
however, rainout protection is not guaranteed. If rainout does occur, first try increasing the tube
temperature. If the air temperature becomes too warm and rainout continues, try decreasing the
humidity.
Tube Temperature
If the air in the mask feels too warm or too cold, the patient can adjust the temperature to find what
is most comfortable or turn it off completely. The Tube Temperature can be set to anywhere
between 60–86°F (16–30°C).

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Last edited by TangledHose on Wed Oct 22, 2014 10:59 am, edited 1 time in total.
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TangledHose
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Re: Airsense S10

Post by TangledHose » Wed Oct 22, 2014 10:48 am

Oh.....I forgot to mention.......I have the Clinician Manual for the Airsense 10 (all models) in pdf format ...... if you would like me to send you a copy shoot me a pm with your email and I will send it along to you if you don't already have it.

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Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier
Mask: Simplus Full Face CPAP Mask with Headgear
Additional Comments: Also own F&P Icon Auto for backup and travel; and a Transcend when packing space is limited
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TangledHose
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Re: Airsense S10

Post by TangledHose » Wed Oct 22, 2014 10:52 am

I also read over on the Apnea board a new Airsense user was complaining that the auto ramp started too low (4cm).....this is also a setting that can be changed in the Clinician settings area, but I would assume that user was unaware that the starting ramp pressure could be adjusted in the Clinician settings............apparently the factory default is set at 4cm and can not be accessed unless you go in to Clinician settings, so a newbie would not know about that.

_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier
Mask: Simplus Full Face CPAP Mask with Headgear
Additional Comments: Also own F&P Icon Auto for backup and travel; and a Transcend when packing space is limited
Link to Sleepyhead:
http://sleepfiles.com/SH2/

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cathyf
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Re: Airsense S10

Post by cathyf » Wed Oct 22, 2014 11:57 am

TangledHose wrote:I also read over on the Apnea board a new Airsense user was complaining that the auto ramp started too low (4cm).....this is also a setting that can be changed in the Clinician settings area, but I would assume that user was unaware that the starting ramp pressure could be adjusted in the Clinician settings............apparently the factory default is set at 4cm and can not be accessed unless you go in to Clinician settings, so a newbie would not know about that.
I turned ramp off after 5 days, because I felt a little smothered with it at AUTO, and when I accidentally turned it to 45 minutes it was worse. And at the end of the ramp my machine was climbing straight up to 11/12/13 or so, showing that the autoset algorithm did NOT like the low pressures. Interestingly, with ramp turned to OFF and minimum pressure set to 7, it has the same effect as AUTO ramp except that the ramp runs at 7 rather than 4. Because the machine holds at the minimum pressure until it decides you are asleep, and then starts applying its algorithm to the pressures. In my case, it never goes back to the minimum pressure at all.

People familiar with the S9 will have to say whether or not that's how the S9 works, too. I have the black A10, not the ForHer version, and I thought that was supposed to be the same algorithm as the S9.

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palerider
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Re: Airsense S10

Post by palerider » Wed Oct 22, 2014 12:34 pm

cathyf wrote: Interestingly, with ramp turned to OFF and minimum pressure set to 7, it has the same effect as AUTO ramp except that the ramp runs at 7 rather than 4. Because the machine holds at the minimum pressure until it decides you are asleep, and then starts applying its algorithm to the pressures. In my case, it never goes back to the minimum pressure at all.

People familiar with the S9 will have to say whether or not that's how the S9 works, too. I have the black A10, not the ForHer version, and I thought that was supposed to be the same algorithm as the S9.
the sensasleep (my term, I forget what they call it in the manual) optional function is new with the as10. previous generations didn't try to figure out whether you were awake or asleep.

however, you probably don't have flow limitations while awake, so there's nothing for the autoset to dislike, until you fall asleep, and start having the FL's that cause it to ramp up the pressure.

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cathyf
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Re: Airsense S10

Post by cathyf » Wed Oct 22, 2014 12:41 pm

palerider wrote:the sensasleep (my term, I forget what they call it in the manual) function is new with the as10. previous generations didn't try to figure out whether you were awake or asleep.
AHA!!! That makes sense! With the machine figuring out whether you have gone to sleep yet, ramp is going to just screw things up. That also explains my other mystery -- the machine is really good at figuring out when I have gone from awake to asleep when I turn the machine on. However it seems totally oblivious to me waking up and going back to sleep after that as long as I leave the mask on. I'm thinking that I might set my minimum pressure higher and then every time I wake up reach over and stop and start the machine. That will send the machine back to the minimum pressure each time, and also provide a record of arousals.

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palerider
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Re: Airsense S10

Post by palerider » Wed Oct 22, 2014 12:48 pm

cathyf wrote:
palerider wrote:the sensasleep (my term, I forget what they call it in the manual) function is new with the as10. previous generations didn't try to figure out whether you were awake or asleep.
AHA!!! That makes sense! With the machine figuring out whether you have gone to sleep yet, ramp is going to just screw things up. That also explains my other mystery -- the machine is really good at figuring out when I have gone from awake to asleep when I turn the machine on. However it seems totally oblivious to me waking up and going back to sleep after that as long as I leave the mask on. I'm thinking that I might set my minimum pressure higher and then every time I wake up reach over and stop and start the machine. That will send the machine back to the minimum pressure each time, and also provide a record of arousals.
it is supposed to only do the 'is she awake' thing during the 'auto' ramp, from then on it goes into it's normal routine, bumping pressure up x amount in y minutes due to a b c d of flow limits, snores, hypopneas and obstructive apneas, with different reaction times and increase rates for each, then it drops pressure when it's not sensing issues.

the for her 'new min pressure' option actually looks pretty cool, in would cut down on the up and down of pressure, since you don't have that option, your only 'fix' is to look at what the pressures are doing, and raise your minimum to where you don't have so many increases... ie, if every time you get down to 8, it spikes back up, then 8 is too low... etc.

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cathyf
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Re: Airsense S10

Post by cathyf » Wed Oct 22, 2014 2:40 pm

palerider wrote:the for her 'new min pressure' option actually looks pretty cool, in would cut down on the up and down of pressure, since you don't have that option, your only 'fix' is to look at what the pressures are doing, and raise your minimum to where you don't have so many increases... ie, if every time you get down to 8, it spikes back up, then 8 is too low... etc.
The interesting thing that I am seeing is that if I have the minimum pressure set at 8, it NEVER gets down to 8 from above.
Image
It will go to 9, then bounce back up. When I had the minimum set at 7, it never came down to 7 from above. It would get down to 8 and spike back up.

Looking at my data, it appears that if your minimum pressure is too low to keep you out of event trouble, the A10 won't take you down to the minimum, but a pressure that is one cm more than the minimum. Or, another way to look at it is that the A10 rule is:
...if you are set with 7 as minimum, and every time you get down to 8, it spikes back up, then 7 is too low...
...if you are set with 8 as minimum, and every time you get down to 9, it spikes back up, then 8 is too low...

Tonight I will check how it behaves with 9 as the minimum.

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palerider
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Re: Airsense S10

Post by palerider » Wed Oct 22, 2014 3:16 pm

cathyf wrote:
palerider wrote:the for her 'new min pressure' option actually looks pretty cool, in would cut down on the up and down of pressure, since you don't have that option, your only 'fix' is to look at what the pressures are doing, and raise your minimum to where you don't have so many increases... ie, if every time you get down to 8, it spikes back up, then 8 is too low... etc.
The interesting thing that I am seeing is that if I have the minimum pressure set at 8, it NEVER gets down to 8 from above.
it's not interesting, or surprising at all, for the pressure to continue to drop to the baseline, you have to have *no* apneas, *no* hypopneas, *no* appreciable snores, and... (most important in your case) *NO* flow limitations.

when it sees any of those things, it won't reduce pressure, it'll bump it up.

see how the pressure changes based on flow limits?
Image

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sleepstar
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Re: Airsense S10

Post by sleepstar » Thu Oct 23, 2014 12:26 pm

Thanks for the feedback